Website Pre-Application

Pre-Application

Merchant Services
Thank you for your interest in Electronic Merchant Services (EMS) as your merchant credit card provider. Below is the information you will need in order to apply for a new account.

Setup is a two-part process.

Step 1: Complete the online application and submit the required supporting documents.

Step 2: Complete the e-signature documentation (docusign). This will be sent after you complete the prapplication and preunderwriting has reviewed all submitted information.

Both the online application and supporting documents are required for us to generate this next step. Once your e-signature documentation is received back, underwriting often takes more than several days to review. Note that Underwriting may ask for additional information.

Please email info@emspayments.com with any questions you may have about the application.
Name*

First NameLast Name
Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Business Phone Number
Please enter a valid phone number.
Website
Business Legal Name*
Business DBA (if different than legal name)
Business Type (What are you collecting payments for?)*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Federal Tax ID / EIN*
Ownership Type*

IndividualLLCCorporationNon-Profit
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Social Security Number*
Driver's License Number*
Driver's License State*
Bank Account Number for Deposits*
Bank Routing Number for Deposits*
Monthly Credit Card Volume*
Highest Ticket Amount*
Average Ticket Amount*
Driver's License*

Copy of your driver’s license. Must match Principal's name on pre-application.
Cancelof
Voided check or Bank Letter*

Pre-printed voided check or a signed bank letter dated in the last 30 days with the routing and account numbers. Cannot be a starter check. DBA or legal name must be printed on check.
Cancelof
EIN Doc / Business License

Cancelof
Articles of Incorporation

Cancelof
Month & Year of Business Start Date
Three Months Bank Statements

Bank Statements (3 Months)Cannot be a printout of the transaction summary.
Cancelof
Have you accepted Credit Card Payments in the past?

YesNoYes but under a different business name
If Yes, What was the name(s) of your previous processor?
Three Months Previous Processing Statements (if applicable)

May not be applicable for new businesses. Do not send screenshots from Stripe, PayPal or Square. Additional instructions will be sent to get processing history from those accounts.
Cancelof
Marketing Materials

Cancelof
Additional Docs

Cancelof
Please let us know any special concerns you have about opening this Account.
Should be Empty: